Treatment of Helicobacter pylori infection in children:A systematic review

Breno Bittencourt de Brito; Camilo Santana Silva; Dulciene Maria de Magalhães Queiroz; Fabrício Freire de Melo; Filipe Antônio França da Silva; Gifone Aguiar Rocha; Hanna Santos Marques; Jonathan Santos Apolonio; Lorena Sousa de Carvalho; Luana Kauany de SáSantos; Márcio Vasconcelos Oliveira; Maria Luísa Cordeiro Santos; Mariana Miranda Sampaio; Ronaldo Teixeira da Silva Júnior

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Treatment of Helicobacter pylori infection in children:A systematic review

Treatment of Helicobacter pylori infection in children:A systematic review

作者：

Breno Bittencourt de Brito Camilo Santana Silva Dulciene Maria de Magalhães Queiroz Fabrício Freire de Melo Filipe Antônio França da Silva Gifone Aguiar Rocha Hanna Santos Marques Jonathan Santos Apolonio Lorena Sousa de Carvalho Luana Kauany de SáSantos Márcio Vasconcelos Oliveira Maria Luísa Cordeiro Santos Mariana Miranda Sampaio Ronaldo Teixeira da Silva Júnior

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Helicobacter

pylori

CHILDREN

Pediatric

treatment

Standard

triple

therapy

PROBIOTICS

Sequential

therapy

Eradication

therapies

摘要：

BACKGROUND Helicobacter pylori(H.pylori)infection is predominantly acquired in childhood.When indicated,the most accepted treatment for H.pylori eradication in this age group is first-line triple therapy.However,the increasing resistance to clarithromycin and nitroimidazoles has been associated with treatment failure,and thus,alternative treatment regimens have been proposed.AIM To perform a systematic review of randomized controlled trials on treatment regimens for H.pylori infection in children.METHODS We surveyed relevant articles published in English from 2010 to April 2020 in the PubMed and MEDLINE databases.Keywords included“Helicobacter pylori“/”children or childhood“/”treatment or eradication.”The risk of bias was evaluated according to the Cochrane Handbook of Systematic Reviews for Interventions.RESULTS Among the 1144 records identified through the database,20 articles were selected.Four studies compared the eradication rates of H.pylori infection between standard triple therapies,changing only the main antibiotic used.Seven studies evaluated the effectiveness of standard triple therapy with the addition of probiotics.One study investigated the relationship between the effectiveness in the eradication rates of standard triple therapy and vitamin E levels.Six studies analyzed the eradication rates of sequential therapy.CONCLUSION The findings suggest that although standard triple therapy is the most recommended regimen for children by the current guidelines,other therapeutic schemes have shown promising results and may also be recommended for clinical practice in the future.

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篇名	Treatment of Helicobacter pylori infection in children:A systematic review
来源期刊	世界荟萃分析杂志	学科	医学
关键词	Helicobacter pylori CHILDREN Pediatric treatment Standard triple therapy PROBIOTICS Sequential therapy Eradication therapies
年，卷（期）	2020,（4）	所属期刊栏目
研究方向		页码范围	292-308
页数	17页	分类号	R57
字数		语种
DOI